NPI | 1003324229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP018470) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: PA SP018470) |
Enumeration Date | 2018-01-22 |
Last Update Date | 2025-01-09 |